IndividualActive
Jack Mcknight, PT, DPT
NPI 1104296581 · Physical Medicine & Rehabilitation Physician · Bend, OR
Provider details
- NPI number
- 1104296581
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT 43134 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19712 Poplar St
Bend, OR 97702-9036
Phone: (951) 537-4424
Fax: (858) 279-5303
Approximate (ZIP-level) locationGet directions
Mailing address
19712 Poplar St
Bend, OR 97702-9036
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.